PAUL W TANNER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004572

License Status

NOT RENEWED

Business

First Name

PAUL W

Last Name

TANNER

Business Name

PAUL W TANNER

Original Issue Date

02/25/1992

Effective Date

10/03/2003

Expiration Date

11/30/2005

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006